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Individual
DR. BARRY ROBERT MATHESON
Active
Individual
DR. BARRY ROBERT MATHESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401006603
VA
1223P0300X
Periodontics
14875
TX
1223P0300X
Periodontics
DS0000005057
TN
Other
Enumeration date
04/19/2007
Last updated
08/01/2007
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